All young people in our communities are provided opportunities to successfully engage in education, training or employment.

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Student application

Please fill out the form below and click the submit button


Items marked with an * must be completed

Course: *
Student's school: *
Student USI: *
First name: *
Surname: *
Gender: *
Date of birth: *
Student mobile:
Student email: *
Address: *
Suburb: *
State: *
Postcode: *
Are you of Aboriginal and/or Torres Strait Islander heritage: *
No
Yes - Aboriginal
Yes - Torres Strait Islander
Yes - Both
Are you from a non english speaking background: *
Yes
No
Do you have a disability or ongoing medical conditions?
(Disability will not affect enrolment, but will be checked by your home school): *
Yes
No
Year level: *
in 2017
Parent/Guardian contact details
Name: *
Phone (including area code):
Mobile phone:
Email: *









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